Sports Injuries: Game over - or not?
Sports are an important part of your adolescent life, just as much as studies are. It’s the best way to stay healthy and keep your body in shape. However, if you’re not careful, you may cause serious damage to your body, suddenly or over a period of time. The best way to deal with sports injuries is to keep them from happening in the first place. Think of it as just another part of playing by the rulebook. Knowing the rules of the game you're playing and using the right equipment can go a long way towards preventing injuries.
The most common reasons why you get injured playing sports are:
- Not training or playing properly.
- Training too much.
- Not wearing the right footwear.
- Not wearing the right safety equipment.
- Rapid growth during puberty.
There are two kinds of sports injuries:
- Acute traumatic injuries
These are injuries in the form of fractures, sprains and strains, concussions, and cuts. They usually happen after a blow or force - like getting tackled in rugby or getting hit by a cricket ball. - Overuse injuries
These injuries come in the form of stress fractures and tendonitis. These injuries are also called chronic injuries because they happen over time, usually from repetitive training, like running, overhand throwing, or serving a ball in tennis. Overuse injuries can be just as damaging as acute injuries, even though they might not seem serious at first. If they're not treated, they may get worse.
If you think you've been injured, pull yourself out the game or stop doing your activity or workout. Let a coach or parent know what happened in case you need to see a doctor. You should call a doctor when:
- The pain is very bad.
- The pain is worse when you're active.
- The injured area is swollen.
- You're limping.
- Your range of motion is limited.
- The pain continues for a while, gets worse at times, or lasts for a week or more following an injury.
Getting Back in the Game
After a sports injury your first question would probably be, "When can I play again?" This depends on the injury and what your doctor tells you. Even if you can't return to your sport right away, a doctor or physiotherapist might have suggestions and advice on what you can do to stay fit. Always check with your doctor before trying any activity following an injury.
Rehabilitation Programs can also help you stay fit as you recover. Rehab as part of your treatment may include exercise, manual therapy from a physical therapist, and ultrasound or other technology to help relieve pain and promote healing.
When you've recovered, you’ll probably need new protective gear to protect an injured body part. This may include modified shoes, tape to provide extra support, or additional padding to protect against a direct blow.
To help prevent re-injury, be sure to warm up before practice and games. Take it slow when you first get back to your sport and gradually build back up to your pre-injury level.
Most importantly, know your limits. Check up on your body. If a previously injured area (or any body part) begins to hurt, stop immediately and rest. Get help from a doctor if the pain continues. Pain is your body's way of saying things aren’t alright.
Head and Neck Injuries
Serious head and neck injuries happen most often to athletes who engage in contact sports like football or rugby, or sports with the potential for falling accidents such as gymnastics.
- Head Injuries
These injuries include fractures, concussions, contusions (bruises), and hematomas. A hematoma is bleeding or the pooling of blood in or around the brain as a result of an impact to the head from a fall, forceful shaking of the head, or a blow to the head. - Neck Injuries
These injuries include strains, sprains, fractures, burners, and whiplash, which is an injury to the neck caused by an abrupt jerking motion of the head. Neck injuries are among the most dangerous sports injuries.
Never try to move a person with a neck injury! A mishandled neck fracture could lead to permanent paralysis or even death. Keep the injured person still with his or her head held straight while someone calls for emergency medical help. Do not try to move a person lying on the ground.
Back Injuries
Most back injuries are caused by twists or over-exertion of your back muscles while bending or lifting. Back injuries are most common in contact sports like football and rugby, as well as in weightlifting, rowing, golf, gymnastics, and dancing.
Sex Organ Injuries
Injuries to the sex organs usually affect boys more than girls. This is because the penis and testicles are outside the body and more exposed. Injuries to the uterus or ovaries are rare, but a common complaint among teenage girls is breast injury. As the breasts develop, they often can be sore, and a blow from a softball or a collision during field hockey can be painful.
Hand and Wrist Injuries
Hand, finger, and wrist injuries can occur after a fall that forces the hand or fingers backward, or a direct blow. As with other injuries, hand and wrist injuries are most common in contact sports, such as football and rugby, or in sports like cricket, gymnastics, field hockey, rowing and basketball where the fingers, hands, and wrists are at risk.
Foot and Ankle Injuries
Feet and ankles are particularly prone to injury in sports where a lot of running is involved. Another cause of foot injury is wearing the wrong shoes, especially if someone has flat feet, high arches, or other foot differences.
Achilles tendonitis is a very common injury if you’re a runner, but it can also affect basketball players, dancers, or people who repeatedly put a lot stress on their feet. It can be very painful.
Causes of Achilles Tendonitis
Achilles tendonitis is caused by repeated or intense strain on your tendons. However, non-athletes also can get it if they put a lot of stress on their feet.
● Increased activity. Starting a training program after a period of inactivity or adding miles or hills to a jogging routine are two examples of how you could get Achilles tendonitis.
● Sports that require sudden starts and stops, like tennis and basketball.
● A change in footwear, or wearing old or badly fitting shoes. New shoes, worn-out shoes, or the wrong size shoes can cause your feet to overcompensate and put stress on the Achilles tendon. Also, wearing high heels all the time can cause the tendon and calf muscles to get shorter, and switching to flat shoes and exercise can put extra strain on your heels.
● Running up hill. Going uphill forces the Achilles tendon to stretch beyond its normal range.
● Weak calf muscles, flat arches, "overpronation" (feet that roll in when running), or "oversupination" (feet that roll out when running). Overpronation and oversupination cause the lower leg to rotate and put a twisting stress on the tendon.
● Exercise without warm ups. Tight calf muscles or muscles that lack flexibility can decrease your range of motion and put an extra strain on the tendon.
● Running or exercising on hard or uneven surfaces or doing lunges or plyometrics without adequate training.
● Traumatic injuries to the Achilles tendon.
Most cases of Achilles tendonitis start out slowly, with very little pain, and get worse over time. Some of the more common symptoms include:
● mild pain or ache above the heel and in the lower leg, especially after running or doing other physical activities
● pain that gets worse when walking uphill, climbing stairs or taking part in intense or prolonged exercise
● stiffness and tenderness in the heel, especially in the morning, that gradually goes away
● swelling or hard knots of tissue in the Achilles tendon
● creaking or crackling sounds when moving the ankle or pressing on the Achilles tendon
● weakness in the affected leg
The following steps can reduce your risk of Achilles Tendonitis:
● Staying in good shape all year-round and trying to keep your muscles strong. Strong, flexible muscles work more efficiently and put less stress on your tendon.
● Increasing the intensity and length of your exercise sessions gradually. This is especially important if you've been inactive for a while or you're new to a sport.
● Always warming up before you go for a run or play a sport. If your muscles are tight, your Achilles tendons have to work harder to compensate.
● Stretching. Stretch your legs, especially your calves, hamstrings, quadriceps, and thigh muscles — these muscles help stabilize your knee while running.
● Getting shoes that fit properly and are designed for your sport. If you're a jogger, go to a running specialty store and have a trained professional help you select shoes that match your foot type and offer plenty of support. Replace your shoes before they wear out.
● Try running on softer surfaces like grass, dirt trails, or synthetic tracks. Hard surfaces like concrete or asphalt can put extra pressure on the joints. Also avoid running up or down hills as much as possible.
● Varying your exercise routine. Work different muscle groups to keep yourself in good overall shape and keep individual muscles from getting overused.
If you notice any symptoms of Achilles Tendonitis, stop running or doing anything that puts stress on your feet. Wait until the pain is gone or you have been cleared to participate again by a doctor.
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{slider Ankle Sprains}
A sprained ankle is a very common injury for teens, whether you’re an athlete or not. It happens when the ligaments that support the ankle get over-stretched or torn. Sprained ankles can happen when you step in a hole, slip walking downhill, or just awkwardly put your weight down on your foot.
Causes of Sprained Ankles
● Watching your step when you're walking or running on uneven or cracked surfaces.
● Not overdoing things. If you're tired or fatigued, it can increase the risk of injury. Slow down, stop what you're doing, or take extra care to watch your step when you're tired.
● Making sure your ankle has completely healed if you’ve sprained it in the past. Always do this before you try any strenuous physical activities.
● Using tape, ankle braces, or high-top shoes if you're prone to ankle sprains.
● Getting good shoes that fit your feet correctly, and keeping them securely tied or fastened when you're wearing them. Aside from sports, one of the main causes of ankle sprains in women is wearing high-heeled shoes.
{slider Anterior Cruciate Ligament (ACL) Injuries}
● inability to put weight on the affected leg
● swelling in the knee joint within 24 hours of the tear
● intense pain
The medical name for athlete's foot is tinea pedis. Usually, athlete's foot affects the soles of the feet and the areas between the toes and it may also spread to the toenails. Athlete's foot also can spread to the palms of your hands, groin, or underarms if you touch your feet and then touch another area of your body.
Causes of Athlete’s Foot
Athlete's foot is caused by a fungus that thrives in warm, moist environments. It doesn't just affect athletes; anyone whose feet tend to be damp or sweaty can get infected.
Symptoms of Athlete’s Foot
The signs and symptoms of Athlete's Foot include: itching, burning, redness, and stinging on the soles of your feet or between the toes. Your skin may even flake, peel, blister, or crack.
Preventing Athlete’s Foot
Athlete's Foot is contagious and often spreads in damp areas, such as public showers or pool areas. To avoid getting athlete's foot, dry your feet and the spaces between your toes well after showering or swimming. Use a clean towel and avoid sharing towels because doing so can spread the infection. If you’re using a public shower, like those in a locker room, wear waterproof shoes or flip-flops to protect your feet.
{slider Bursitis}
Your body has lots of differently shaped and sized joints, from your head to your big toes. Many of these joints have a customized fluid sac that provides cushioning for movement and pressure. These small cushions are known as bursae (a single one is called a bursa). Bursitis is the term used to describe inflammation or irritation of a bursa and can result from a direct hit or repetitive joint movements like bowling in cricket. You can also get bursitis when your body has to change its balance or movement to adapt to differences, eg. if one leg is shorter than the other.
Causes of Bursitis
Bursitis, especially in teens, is often likely to happen because of sports-related injuries, usually from repeated use of a particular joint or trauma from a direct hit in a contact sport. It's not only the athletic types who get bursitis. Bursitis can sometimes be caused by other problems, such as arthritis or a bacterial infection of the bursa.
Some of the areas in which teens most commonly get bursitis are:
● Elbow. This is one of the common forms of bursitis because the elbow is an essential part of many activities, like throwing a ball or swinging a tennis racket,
● Knee. Bursitis in the knee can be the result of falling directly on the knee or any activity that requires long periods of kneeling.
● Hip. This form of bursitis is often associated with running.
● Shoulder. Bursitis of the shoulder can be the result of an awkward fall or repetitive movements common in overhead sports such as swimming, baseball, and tennis.
● Ankle. Jumping, running, or walking can cause ankle bursitis. Wearing poorly fitted shoes can also lead to ankle bursitis.
Symptoms of Bursitis
Bursitis can be identified by the following symptoms:
● Pain and sensitivity in or around a joint. This is the most common and obvious sign that a person may have bursitis.
● Difficulty moving the affected joint. This happens because the bursa has swollen and made it tough to move the joint properly.
● Swelling. The affected area may appear swollen due to inflammation.
● Reddening of the skin. The inflamed bursa may cause the skin around the joint to change color. Because the bursa can become infected, seek medical attention if the area becomes very red, warm, and painful.
Preventing Bursitis
Bursitis is often the result of a hard impact on a joint or overworking a joint, and sometimes these injuries are unavoidable. But taking following precautions can help avoid getting bursitis:
● Stay in shape. Regular workouts strengthen muscles and joints, which help protect against bursitis.
● Don't overdo it. Too much of anything can be bad, so don’t overwork those joints.
● Start and stop workouts properly. This is one of the best ways to prevent bursitis. Warming up and cooling down are essential parts of working out and should never be skipped. Gradually starting and stopping your workout is less stressful for your joints and body.
● Stretch. Stretching not only helps improve flexibility, but is also useful in preventing bursitis.
● Mix it up. Rotating exercises while lifting weights or just taking a break from strenuous activity, will do your joints a world of good.
● Use padding. Cushions on wooden or metal chairs and kneepads when kneeling on hardwood or concrete floors can help reduce the risk of developing bursitis. Also avoid putting extreme amounts of pressure or weight directly on joints.
● Keep moving. Don't stay planted on your butt, knees, or other joints for long periods of time. Even if it's for a few minutes, get up and move around.
The clavicle (also called the collarbone) helps connect the arm to the body. It’s the bone that runs horizontally between the top of your breastbone (sternum) and shoulder blade (scapula). You can feel it by touching the area between your neck and your shoulder. Most people can see the clavicle beneath the skin when looking in the mirror.
Clavicle fractures are common in contact sports like football and rugby. They also often happen in sports where there is a chance of falling hard, such as biking and skateboarding. A clavicle also can fracture if the bone is hit directly, like in a car collision or other accident.
● falling onto an outstretched arm
● direct hit to the clavicle (as in a collision)
Some signs that you may have a clavicle fracture:
● Difficulty moving your arm
● Swelling, tenderness, and bruising along the clavicle
● Increased pain when trying to move your shoulder or arm
● A grinding or crackling sensation when trying to raise your arm
● A bulge above the break (in rare cases, the broken end of the bone might even penetrate the skin and be exposed)
● Your shoulder sags down and forward
If you think you've fractured your collarbone, you should see a doctor. The doctor will first ask questions about how the injury happened and identify the symptoms. He or she will examine your shoulder and may press gently on your clavicle to see if it is tender. This will also help the doctor find out where the fracture is and make sure no nerves or blood vessels are damaged. This part of the exam also might include checking the feeling and strength in your arm, hand, and fingers.
Clavicle fractures are hard to prevent because they happen suddenly and unexpectedly. But you can take a few precautions to decrease your risk:
● Keep your bones strong by eating a well-balanced diet. Be sure to eat lots of vegetables and foods that are rich in calcium and vitamin D to help build strong bones.
● Do strength training and stretching to build strong, flexible muscles. Muscles that are strong and flexible will help support your bones better and keep you agile and less likely to experience a hard fall. Proper warm-ups, including dynamic stretching exercises, helps your muscles perform at their peak during play.
● Wear well-fitting, supportive footwear that's right for your sport.
Fitness experts recommend that you do at least 60 minutes of moderate to vigorous physical activity every day. Most teens exercise much less than this recommended amount, but some teens, such as athletes, do more.
If you are concerned about your own exercise habits, ask yourself the following questions.
● Do you prefer to exercise rather than hang out with friends?
● Do you become very upset if you miss a workout?
● Do you base the amount you exercise on how much you eat?
● Do you have trouble sitting still because you think you're not burning calories?
● Do you worry about gaining weight if you skip a day’s exercise?
The first thing you should do if you suspect that you are a compulsive exerciser is get help. Talk to your parents, doctor, a teacher or counselor, a coach, or another trusted adult. Compulsive exercise, especially when combined with an eating disorder, can cause serious and permanent health problems, and in some extreme cases, even death.
If you exercise compulsively, you may have a distorted body image and low self-esteem. You may see yourself as overweight or out of shape even when you’re actually a healthy weight.
● When you exercise, focus on the positive, mood-boosting qualities.
● Give yourself a break. Listen to your body and give yourself a day of rest after a hard workout.
● Control your weight by exercising and eating moderate portions of healthy foods. Don't try to change your body into an unrealistically lean shape. Talk to your doctor, dietitian, coach, trainer, or a responsible adult about a healthy body weight ideal for you and learn how to develop healthy eating and exercise habits.
If you play sports or follow your favourite team, you probably know that concussions are a serious issue. Playing sports increases a person's risk of falls and collisions with objects or other players. These can cause a type of brain injury known as a concussion. As long as people play sport, there will be concussions from time to time. But wearing the right protective gear and playing the right way can prevent a brain injury.
If you do get a concussion, take a break from sports. Making sure you let your brain heal completely helps prevent long-term problems.
Causes of Concussions
The human brain is soft. Your body protects the brain by cushioning it in cerebrospinal fluid inside a hard skull. Because the brain floats in the fluid, it can move around and even bang against the skull.A fall or collision that makes the brain bang against the skull can bruise the brain. It also can tear blood vessels and injure nerves. These injuries can cause a concussion, which is a temporary loss of normal brain function.
Some of the ways concussions can happen in sports are:
● tackles in football and rugby
● getting hit on the head by a cricket ball
● heading a ball incorrectly in soccer
● skateboarding or biking wipeouts
● collisions between two players
Symptoms of Concussion
If you were playing a sport and banged your head but didn't do anything about it when it happened, watch out for signs of a concussion. Concussions don't always show up right away. It can take up to 3 days for signs to become obvious.
See a doctor as soon as you can if think you might have a concussion and develop any of the following problems:
● headache
● dizziness
● feeling sick or throwing up
● difficulty with coordination or balance
● blurred vision
● slurred speech or saying things that don't make sense
● feeling confused and dazed
● difficulty concentrating, thinking, or making decisions
● trouble remembering things
● feeling sleepy
● having trouble falling asleep
● sleeping more or less than usual
● feeling anxious or irritable for no apparent reason
● feeling sad or more emotional than usual
Treating a Concussion
● If you hurt your head while playing a sport, stop playing immediately. A coach should know to take you off the field. But if you don't have a coach, or your coach doesn't pull you from play, take yourself out of the game.
● If you're cycling, stop riding. Don't take a chance on hurting your head again. A second head injury can lead to a condition called second-impact syndrome. Second-impact syndrome doesn't happen very often, but it can cause lasting brain damage and even death.
● If you hurt your head playing organized sports, a coach or athletic trainer may examine you right after your injury. This is known as sideline testing because it might happen on the sidelines during a game. Sideline testing is common in schools and sports leagues. By watching you and doing a few simple tests, a trained person can see if you need medical care.
Lots of schools or sports leagues test players at the start of a sports season to measure their normal brain function. These tests are called baseline concussion tests. Coaches, trainers, or doctors often compare these baseline results against sideline tests to see if a player's brain is working OK.
When You can Play Again
The first question most athletes ask after a concussion is how soon can they get back in the game. The answer is simply ‘When your doctor says it's ok’. Concussions can be tricky: You might feel fine, but your thinking, behavior, and/or balance may not have returned to normal. Only a doctor can tell these things for sure. It's essential to wait until the doctor says it's safe to return to sports, but you might sometimes feel the pressure to start playing again. You might worry about letting your team down or feel pushed by a coach. This is why most professional leagues have rules about when players can start playing again after a concussion. These rules are there to protect players so they're not pushed into getting back in the game too soon, when the risk of second-impact syndrome is high. There are a number of ways doctors can tell if you’re ready to return to play. A doctor will consider you healed when:
● the symptoms of concussion are gone
● you regain all of your memory and concentration
● you don't have symptoms after jogging, sprinting, sit-ups or push-ups
Once the doctor tells you it's OK to start playing sports again, ease back into things. Stop playing right away if any symptoms return. With the right diagnosis and treatment, you could recover within a week or two without lasting health problems.
Start With the Right Equipment - You should always wear proper fitting, sport-appropriate headgear and safety equipment when playing contact sports or cycling. You can't prevent every concussion. But helmets, mouthguards and other safety gear can greatly reduce the risk of a brain injury.
One common cause of dehydration in teens is gastrointestinal illness. When you're attacked by a stomach bug, you lose fluid through vomiting and diarrhea. You also probably won't feel like eating or drinking. Even if you don't have a stomach virus, you can get dehydrated for other reasons when you're sick. For example, if you have a sore throat, you might find it hard to swallow food or drink. And if you have a fever, water evaporates from your skin in an attempt to cool your body.
To counter dehydration, you need to restore the proper balance of water in your body. But first, you have to recognize the problem.
● having a dry or sticky mouth
● producing less urine and darker urine
The easiest way to avoid dehydration is to drink lots of fluids, especially on hot days. Water is usually the best choice. Drinking water does not add calories to your diet and is great for your health.
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While fainting may indicate a particular medical condition, sometimes it may occur in an otherwise healthy individual. You may sometimes feel faint and lightheaded (presyncope) or lose consciousness (syncope). Most episodes are very brief. And as in most cases, if you do faint you should regain complete consciousness within just a few minutes.
Causes of Fainting
Here are some of the reasons why you might faint:
● Physical triggers. Getting too hot or being in crowded, poorly ventilated settings are common causes of fainting in teens. People can also faint after exercising too much or working out in excessive heat and not drinking enough fluids (causing your body to become dehydrated). Fainting can also be triggered by other causes of dehydration, as well as hunger or exhaustion. Sometimes just standing for a long periods or getting up too quickly after sitting or lying down can cause someone to faint.
● Emotional stress. Emotions like fright, pain, anxiety, or shock can affect your nervous system, causing blood pressure to drop. This is the reason why people faint when something frightens or horrifies them, like the sight of blood.
● Hyperventilation. A person who is hyperventilating is taking fast breaths, which causes carbon dioxide (CO2) to decrease in the blood. This can make a person faint. People who are extremely stressed out, in shock, or have certain anxiety disorders may faint as a result of hyperventilation.
● Drug use. Some illegal drugs (like cocaine or methamphetamine) or using inhalants can cause fainting.
● Low blood sugar. The brain depends on a constant supply of sugar from the blood to work properly and keep a person awake. If you’re taking insulin shots or other medications for diabetes you could develop low blood sugar and pass out if you take too much medicine or don't eat enough. Sometimes people without diabetes who are starving themselves (as with crash dieting) can drop their blood sugar low enough to faint.
● Anemia. A person with anemia has fewer red blood cells than normal, which decreases the amount of oxygen delivered to the brain and other tissues. Girls who have heavy periods or people with iron-deficiency anemia for other reasons (like not getting enough iron in their diet) may be more likely to faint.
● Pregnancy. During pregnancy the body normally undergoes a lot of changes, including changes in the circulatory system. This leads to low blood pressure that may cause a woman to faint. In addition, the body's fluid requirements are increased, so pregnant women may faint if they aren't drinking enough. And as the uterus grows, it can press on and partially block blood flow through large blood vessels, which can decrease blood supply to the brain.
● Eating disorders. People with anorexia or bulimia may faint for a number of reasons, including dehydration, low blood sugar, and changes in blood pressure or circulation caused by starvation, vomiting, or over-exercising.
● Cardiac problems. An abnormal heartbeat and other heart problems can cause a person to faint. If someone is fainting a lot, especially during exercise or exertion, doctors may suspect heart problems and run tests to look for a heart condition.
Some medical conditions, like seizures or a rare type of migraine headache, can cause you to seem like you’re fainting. But what's happening is not the same thing as fainting and is handled differently.
If you've only fainted once, it was brief, and the reasons why are obvious (like being in a hot, crowded setting), then there's usually no need to worry about it. But if you have a medical condition or are taking prescription medications, it's better to call your doctor. You should also let your doctor know if you hurt yourself when you fainted (for example, if you hit your head really hard).
Helping Someone Who Faints
If you're with someone who has fainted, try to make sure the person is lying flat, but avoid moving the person if you think he or she might have been injured when falling because that could make things worse.
Instead, loosen any tight clothing such as belts, collars, or ties to help restore blood flow. Propping the person's feet and lower legs up on a backpack or jacket can also help move blood back toward the brain.
Someone who has fainted will usually recover quickly. Because it's normal to feel a bit weak after fainting, be sure the person stays lying down for a bit. Getting up too quickly may bring on another fainting spell.
Sometimes you might feel dizzy immediately before you faint. You may also notice changes in vision (such as tunnel vision), a faster heartbeat, sweating, and nausea. If you’re about to faint, you may even throw up.
If you think you're going to faint, you may be able to head it off by taking the following steps:
● Sit down with your head lowered forward between your knees. This will also help blood circulate to the brain, although it's not as good as lying down. When you feel better, move slowly into an upright seated position, then stand.
● Don't let yourself get dehydrated. Drink enough fluids, especially when your body is losing more water due to sweating or being in a hot environment. Drink enough fluids before, during, and after sports and exercise.
● Keep blood circulating. If you have to stand or sit for a long time, periodically tense your leg muscles or cross your legs to help improve blood return to the heart and brain. And try to avoid overheated, cramped, or stuffy environments.
Most girls with female athlete triad try to lose weight as a way to improve their athletic performance. The disordered eating that accompanies female athlete triad can range from not consuming enough calories to keep up with energy demands to avoiding certain types of food the athlete thinks are "bad" (such as foods containing fat) to serious eating disorders like anorexia nervosa or bulimia nervosa.
Exercising intensely and not eating enough calories can lead to decreases in the hormones that help regulate the menstrual cycle. As a result, a girl's periods may become irregular or stop altogether. Of course, it's normal for teens to occasionally miss periods, especially in the first year. A missed period does not automatically mean female athlete triad. It could mean something else is going on, like pregnancy or a medical condition. If you are having sex and miss your period, talk to your doctor.
Estrogen is lower in girls with female athlete triad. Low estrogen levels and poor nutrition, especially low calcium intake, can lead to osteoporosis, the third aspect of the triad. Osteoporosis is a weakening of the bones due to the loss of bone density and improper bone formation. This condition can ruin a female athlete's career because it may lead to stress fractures and other injuries.
Like most girls, you may have concerns about the size and shape of your body. But being a highly competitive athlete and participating in a sport that requires you to train extra hard can only increase your worries.
If you have risk factors for female athlete triad, you may already be experiencing some symptoms and signs of the disorder, such as:
● no periods or irregular periods
● fatigue and decreased ability to concentrate
● stress fractures (fractures that occur even if a person hasn't had a significant injury)
● other injuries
● preoccupation with food and weight
● frequent trips to the bathroom during and after meals
● using laxatives
● brittle hair or nails
● dental cavities because in girls with bulimia tooth enamel is worn away by frequent vomiting
● sensitivity to cold
● low heart rate and blood pressure
● heart irregularities and chest pain
It's tempting to ignore female athlete triad and hope it goes away. But it requires help from a doctor and other health professionals. If someone you know has signs and symptoms of female athlete triad, discuss your concerns with her and encourage her to seek treatment. If she refuses, you may need to mention your concern to a parent, coach, teacher, or school nurse.
You might worry about seeming nosy when you ask questions about a friend's health, but you're not. Your concern is a sign that you're a caring friend. Sometimes, lending an ear may be just what your friend needs.
If you’re a teen athlete, here are a few tips to help you stay on top of your physical condition:
● Don't skip meals or snacks. If you're constantly on the go between school, practice, and competitions you may be tempted to skip meals and snacks to save time. But eating now will improve performance later, so stock your locker or bag with quick and easy favorites such as bagels, string cheese, unsalted nuts and seeds, raw vegetables, granola bars, and fruit.
● Visit a dietitian or nutritionist who works with teen athletes. He or she can help you create a dietary plan, and find out if you're getting enough calories and key nutrients such as iron, calcium and protein. And if you need supplements, a nutritionist can recommend the best choices.
● Do it for you. Pressure from teammates, parents, or coaches can turn a fun activity into a chore. If you're not enjoying your sport, make a change. Don’t forget, It's your body and your life. It’s not your coach or teammates, but you who has to live with any damage you do to your body now.
Groin strains usually happen when the adductor muscles get stretched too far and begin to tear. Strains also can occur when the adductor muscles suddenly have stress put on them when they aren't ready for it (usually when you don't go through a proper warm-up before playing) or when there's a direct blow to one of the muscles.
● Tight muscles. Muscles that haven't been warmed up and stretched properly are more likely to tear. This is especially true in cold weather.
● Poor conditioning or fatigue. Weak muscles are less able to handle the stress of exercise, and muscles that are tired lose some of their ability to absorb energy, making them more likely to get injured.
● Returning to activities too quickly after an injury. Groin strains need time and rest to heal completely. Trying to come back from a strain too soon will make you more likely to injure your groin again.
The symptoms of a groin strain somewhat vary depending on the grade of the strain. All groin strains will cause pain and tenderness in the affected area, and many will hurt when you bring your legs together or raise your knee. If a strain is severe, you may feel a popping or snapping sensation during the injury and severe pain afterward
The main thing you can do to prevent a strained groin is to warm up and stretch before any exercise or intense physical activity. Jog in place for a minute or two, or do some jumping jacks to get your muscles warmed up. Then do some dynamic stretching. Just ask a coach, trainer or sports medicine specialist to show you how to do this.
● Increase the duration and intensity of your exercise slowly. A good rule of thumb is to make sure you add no more than 10% each week to the miles you run or the time you spend playing a sport.
● If you feel pain in your groin, stop your exercise or activity immediately. If you're worried that you might have strained your groin, give it time to rest and don't resume your activity until you are pain-free and your injured adductor muscles feel as strong as the uninjured ones.
● Learn to use proper technique when exercising or playing sports. Your coach or trainer can give you pointers and tips for your sport.
● Wear shoes or skates that fit correctly and offer your feet good support. Replace shoes with a new pair when they show signs of wear or the soles start to lose their shape.
A hamstring strain is generally a result of muscle overload, like when you’re running and your leg is fully extended just before your foot strikes the ground. In a situation like that, the hamstring muscles can get stretched too far, and if they're forced to take on a sudden load, like when your foot strikes the ground and all your weight is on it, they may start to tear.
● Being out of shape or overdoing it. Weak muscles are less able to handle the stress of exercise, and muscles that are tired lose some of their ability to absorb energy, making them more likely to get injured.
● An imbalance in the size of your leg muscles. It's not uncommon for the quadriceps, the muscles at the front of your legs, to be larger and more powerful than your hamstring muscles. When you do an activity that involves running, the hamstring muscles can grow fatigued more quickly than the quadriceps, putting them at greater risk of a strain.
● Poor technique. If you don't have a good running technique, it can increase the stress on your hamstring muscles.
● Returning to activities too quickly after an injury. Hamstring strains need plenty of time and rest to heal completely. Trying to come back from a strain too soon will make you more likely to injure your hamstring again.
If you happen to strain your hamstring while running, you'll know it immediately. You'll feel a sharp pain and possibly a popping sensation at the back of your leg. You won't be able to keep running and you may fall.
● tenderness, swelling, and bruising in the affected area
● weakness in your leg that lasts for a long time after the injury
If you feel pain in your thigh, stop your activity immediately. If you're worried that you might have strained your hamstring, give it time to rest and don't resume your activity until your leg feels strong, you have no pain, and you can move your injured leg as freely as the other one.
Keeping your muscles in good shape is the best way to prevent hamstring injuries. Here are a few ways that can help protect you against them:
● Keep your muscles strong and flexible all year-round. Get regular exercise and adopt a good stretching program so your muscles don't get a shock when you do an intense workout.
● Increase the duration and intensity of your exercise slowly. A good rule of thumb is to make sure you add no more than 10% each week to the miles you run or the time you spend playing a sport.
To understand how jumper's knee happens, it helps to understand how the knee works. The knee, which is the largest joint in the body, provides stability to the leg and allows it to bend, swivel, and straighten. Several parts of the body interact to allow the knee to function properly:
● Muscles provide the tug on the bones needed to bend, straighten, and support joints. The muscles around the knee include the quadriceps (at the front of the thigh) and the hamstring (on the back of the thigh). The quadriceps muscle helps straighten and extend the leg, and the hamstring helps bend the knee.
● Tendons are strong bands of tissue that connect muscles to bones. The tendons in the front of the knee are the quadriceps tendon and the patellar tendon. The quadriceps tendon connects to the top of the patella and allows the leg to extend. The patellar tendon connects to the bottom of the kneecap and attaches to the top of the tibia.
● Similar to tendons, ligaments are strong bands of tissue that connect bones to other bones.
Constant jumping, landing, and changing direction can cause strains, tears, and damage to the patellar tendon. If you regularly play sports that involve a lot of repetitive jumping, like track and field (particularly high-jumping), basketball, volleyball, gymnastics, running, and football, you can put a lot of strain on your knees.
Jumper's knee can seem like a minor injury that isn't really that serious. Because of this, many athletes keep training and competing, thereby tending to ignore the injury or attempt to treat it themselves. But it's important to know that jumper's knee is a serious condition that can get worse over time and ultimately require surgery. Early medical attention and treatment can help prevent continued damage to the knee.
Common symptoms of jumper's knee include:
● stiffness of the knee, particularly while jumping, kneeling, squatting, sitting, or climbing stairs
● pain when bending the knee
● pain in the quadriceps muscle
● leg or calf weakness
● warmth, tenderness, or swelling around the lower knee
● Cryotherapy: Apply ice for 20 to 30 minutes, 4 to 6 times per day, especially after activity.
● Joint motion and kinematics assessment: Hip, knee, and ankle joint range of motion are evaluated.
● Stretching: Stretch (1) flexors of the hip and knee (hamstrings, gastrocnemius, iliopsoas, rectus femoris, adductors), (2) extensors of the hip and knee (quadriceps, gluteals), (3) the iliotibial band (a large tendon on the outside of the hip and upper leg), and (4) the surrounding tissues and structures of the kneecap.
● Strengthening: Specific exercises are often prescribed.
● Other sport specific joint, muscle, and tendon therapies may be prescribed.
Knee Injuries
The MCL is one of the four main ligaments in the knee joint. It's located on the side of the knee that is closer to the other knee. One end of the ligament is attached to the femur, while the other end is attached to the tibia. Together with the lateral collateral ligament (LCL), which is in the same location on the outside of the knee, the MCL helps prevent the overextension of the knee joint from side-to-side.
If you play contact sports, like football or rugby, you’re most likely to have a torn MCL. The injury happens when the outside of the knee is struck, causing it to unnaturally bend inward (toward the other knee). This creates tension on the MCL, a rope-like band, and it stretches or breaks in half.
Someone with a partially or completely torn MCL may or may not have symptoms, depending on the severity of the injury.
If you have a partial or completely torn MCL, you might have swelling and pain within the first 24 hours of injury. Fortunately, this injury can heal on its own with anywhere from 1 to 6 weeks of resting the joint.
Osgood-Schlatter disease is an overuse injury of the knee. Frequent use and physical stress cause inflammation (pain and swelling) at the point where the tendon from the kneecap (called the patella) attaches to the shinbone (tibia).
OSD can cause very different symptoms in different people. It all depends on the severity of the condition. You may feel mild knee pain only when they play sports. Or your may feel constant pain that makes playing any sport difficult.
● pain that becomes worse during activities such as running and jumping
● limping after physical activity
If the plantar fascia becomes irritated and sore from overuse, it's known as plantar fasciitis. Plantar fasciitis sometimes can be mistaken for heel spurs, which is a different kind of injury with similar symptoms.
Because the plantar fascia supports your foot and gets used every time you take a step, it has to absorb a large amount of stress and weight. If too much pressure is put on the plantar fascia, the fibers can become damaged or start to tear. Your body responds by causing inflammation in the affected area. This is what causes the pain and stiffness of plantar fasciitis.
● Weight. Carrying a few extra pounds puts added pressure on your feet every time you take a step.
● Activities that put a lot of stress on the feet. This includes things like running, hiking, dancing and aerobics.
● Bad shoes. Footwear that doesn't give your foot the support it needs increases your risk of plantar fasciitis. Get rid of any shoes that have thin soles or inadequate arch support, or ones that don't fit your feet properly. Routinely wearing high heels can also cause your Achilles tendon to contract over time, making it harder to flex your foot.
● Jobs that involve a lot of standing or walking on hard surfaces. Jobs that keep you on your feet all day, like waiting tables or working in a store, can cause damage to your plantar fascia.
● High arches, flat feet, or other foot problems. The shape of your foot can affect the way your weight is distributed on your feet when you stand. If weight distribution is a bit off, it can add to a person's risk of plantar fasciitis. How someone walks can increase the stress on certain parts of the foot too.
The most obvious symptom of plantar fasciitis is a sharp pain on the bottom of the foot, near the heel. Here are some signs that this pain may be plantar fasciitis:
● The pain is worse after standing for a long time or after getting up from sitting.
● The pain develops gradually and becomes worse over time.
● The pain gets worse after exercise or activity than during activity.
● It hurts when stretching the foot.
● It hurts when pressing on the sides of the heel or arch of the foot.
More than with most sports injuries, a little bit of prevention can go a long way toward keeping you free from plantar fasciitis. Here are some prevention tips:
● Stay in good shape. By keeping your weight in check, you'll reduce the amount of stress on your feet.
● Stretch your calves and feet before you exercise or play a sport. Ask an athletic trainer or sports medicine specialist to show you some dynamic stretching exercises.
● Start any new activity or exercise slowly and increase the duration and intensity of the activity gradually. Don't go out and try to run 10 miles the first time you go for a jog. Build up to that level of exercise gradually.
● Carpal tunnel syndrome. In carpal tunnel syndrome, swelling occurs inside a narrow "tunnel" formed by bone and ligament in the wrist. This tunnel surrounds nerves that conduct sensory and motor impulses to and from the hand, causing pain, tingling, numbness, and weakness. Carpal tunnel syndrome is caused by repeated motion that can happen during activities like typing or playing video games (using joysticks). It's rare in teens and more common in adults, especially those in computer-related jobs.
● Epicondylitis. This condition is characterized by pain and swelling at the point where the bones join at the elbow. Epicondylitis (pronounced: eh-pih-kon-dih-LYE-tis) is nicknamed "tennis elbow" because it frequently occurs in tennis players.
● Osgood-Schlatter disease. This is a common cause of knee pain in teens, especially teen athletes who are undergoing a growth spurt. Frequent use and physical stress (such as running long distances) can cause inflammation at the area where the tendon from the kneecap attaches to the shinbone.
● Patellofemoral syndrome. This is a softening or breaking down of kneecap cartilage. Squatting, kneeling, and climbing stairs and hills can aggravate pain around the knee.
● Shin splints. This term refers to pain along the shin or front of the lower leg. Shin splints are commonly found in runners and are usually harmless, although they can be quite painful. They can be difficult to tell apart from stress fractures.
● Stress fractures. Stress fractures are tiny cracks in the bone's surface caused by rhythmic, repetitive overloading. These injuries can occur when a bone comes under repeated stress from running, marching, walking, or jumping, or from stress on the body like when a person changes running surfaces or runs in worn-out sneakers.
● Tendonitis. In tendonitis, tearing and inflammation occur in the tendons, rope-like bands of tissue that connect muscles to bones. Tendonitis is associated with repetitive overstretching of tendons from overuse of certain muscles.
Causes of Repetitive Stress Injuries
Most RSI conditions found in teens are linked to the stress of repetitive motions at the computer or in sports. When stress occurs repeatedly over time, your body's joints don't have the chance to recover, and the joints and surrounding tendons and muscles become irritated and inflamed.
Symptoms of RSIs include:
● stiffness or soreness in the neck or back
● feelings of weakness or fatigue in the hands or arms
● popping or clicking sensation
If you notice any of these warning signs of RSIs, make an appointment to see a doctor. Even if your symptoms seem to come and go, don't ignore them or they may lead to more serious problems.
Without treatment, RSIs can become more severe and prevent you from doing simple everyday tasks and participating in sports, music, and other favorite activities.
Runner's knee can happen for a variety of reasons, many of them having to do with the muscles and bones of the leg. Some of the more common causes are:
● Excessive training or overuse. Repeatedly bending and flexing the knee can irritate the nerves around your kneecap and strain your tendons to the point of discomfort.
● Misalignment of the patella. If your kneecap is out of alignment, activities like running or biking can wear down the cartilage of the kneecap (chondromalacia of the patella), which can lead to pain and irritation in the underlying bone and joint lining.
● Tight or weak leg muscles. Tight hamstrings and calf muscles can put excessive pressure on the knee when you run, and weak quadriceps muscles can result in misalignment of the kneecap.
● Foot problems. Flat feet, also called fallen arches or overpronation, can stretch the muscles and tendons of your leg and lead to pain in the knee.
The most common symptom of runner's knee is tenderness or pain behind or on the sides of the patella, usually toward the center or back of the knee where the thighbone and kneecap meet. In addition, the knee might be swollen.
Runner's knee can be prevented by taking the right precautions. If you're going to get involved in an activity that puts a lot of stress on your knees, follow these tips:
● Keep yourself in good shape. The heavier you are, the more weight your knees will have to bear with every step you take. By keeping your weight in check, you can minimize the stress on your knees and decrease the likelihood of pain.
● Use proper running gear. Buy a good pair of running shoes that fit your feet and offer plenty of support, and replace them with a new pair when they show signs of wear or the soles start to lose their shape. If you have flat feet, consider getting shoe inserts or custom-made orthotics.
● Try to run on soft, flat surfaces. Concrete and asphalt surfaces create extra stress on your knees. If possible, try to run on grass, dirt, or a synthetic track with a softer surface. Running downhill in a straight line can also cause pain in your knees. Walk down hills or run down them in a zigzag pattern.
● Increase the intensity of your workouts slowly. Build up to the distance you want to run over a period of time. If you're used to only running a mile or so, don't try to go out and suddenly run 5 miles. Work up to it with a series of intermediate steps.
● If you've had runner's knee before, wearing a knee brace may help.
Testicular injuries are relatively uncommon, but you should be aware that they can happen.
Examples of serious testicular injury are testicular torsion and testicular rupture.
If you're a guy who plays sports, likes to lift weights and exercise a lot, or leads an all-around active life, you've probably found out that the testicles are vulnerable and can be injured in a variety of ways.
Because they hang in a sac outside the body (the scrotum), the testicles are not protected by bones and muscles like other parts of your reproductive system and most of your other organs. Also, the location of the testicles makes them prime targets to be accidentally struck on the playing field or injured during strenuous exercise and activity.
If you have to see a doctor, he or she will first need to know how long you have been experiencing pain and how severe your discomfort is. To rule out a hernia or other problem as the cause of the pain, the doctor will examine your abdomen and groin.
It's always wise to take precautions to avoid testicular injuries, especially if you play sports, exercise a lot, or just live an all-around active life. Here are some tips to keep your testicles safe and sound:
An athletic supporter, or jock strap, is basically a cloth pouch that you wear to keep your testicles close to your body. Athletic supporters are best used when participating in strenuous exercise, cycling, or doing any heavy lifting.
● Check your fit. Make sure the athletic cup and/or athletic supporter is the right size. Safety equipment that's too small or too big won't protect you as effectively.
● Keep your doctor informed. If you play sports, you probably have regular physical exams by a doctor. If you experience testicular pain even occasionally, talk to your doctor about it.
● Be aware of the risks of your sport or activity. If you play a sport or participate in an activity with a high risk of injury, talk to your coach or doctor about any additional protective gear you should use.